岐黄之书，汗牛充栋，而妇科证治尤烦。然各家诸书非博而弗精，即约而未尽。苟非脉理通明，见识广大者仍复茫
然失据，更致传信传疑，此有书而不如无书也。顾胎产著名者非无其人，但延请而始能测病之源，临症而后定药之性，
甚有薪传失实，贻误堪虞。夫胎产为居家恒有之事，荒陬僻壤，安能尽觅良医，而昏夜仓皇顷刻难求药饵，诚可慨焉！
仆悯世之艰，忘己之拙，合刊是编上卷，为昔人潜寓□提，得其全璧，多述调经种子，胎前临产之说，症治方书了如指
掌。中卷则独宗生化汤为主，而按症加减，详述临产及产后诸调理事宜，毫无遗义。下卷则类及叶老人调经种子，阴阳
仙枣胎息立成，及倪涵初先生痢疟永效方，一并公世而兮。颜其目曰《宁坤秘笈》，末则直书曰《经验良方》。倘家执是
编，体察阴阳，于未孕欲孕之先，按治胎元于临产即产之后，是不特妇科秘术和盘托出而失传，贻误之弊。殆可无忧。
其视博而未精，约而未尽者相去为何如哉！至末卷经验诸方，珍藏尚多，此仅吉光片羽，统俟续刻，俾得共观全豹云。
乾隆丙午孟秋闰月中浣耶溪月田砺堂氏题
第一经前
论其症，血来如胆水，五心作热，腰痛，并小腹痛，面黄色，不思饮食。乃气血虚，先退其热，然后调经。次月胜
血而愈。先用黄芩散治之。
黄芩散方一
黄芩（六分） 川芎（八分） 当归 白芍 苍术（各一钱） 甘草（三分） 知母（五分） 花粉（五分）
水煎温服。后用调经丸。
调经丸方二
三棱 莪术 当归 白芍 生地 熟地（各一钱） 玄胡（一两） 茯苓（一两） 川芎 小茴香 乌药（各八
分） 大茴香（八分） 砂仁（五钱） 香附（一两一钱）
米糊为丸，不拘时酒服。
第二月经后
论其症，经来如漏水，头昏目暗，小腹作痛更兼白带，咽中臭如鱼腥，恶心吐逆。先用理经四物汤，后用补内当归
丸。
理经四物汤三
当归 川芎 生地 柴胡 白术 香附 玄胡 白芍 黄芩 三棱
水煎，临卧热服。
补内当归丸四
当归 续断 白芷 阿胶 浓朴 茯苓 苁蓉 蒲黄（各一两，炒黑） 萸肉（一两） 川芎（八钱）
熟地（一两五钱） 甘草 干姜（各五钱） 附子（二钱）
炼蜜为丸，空心温酒下七八十粒，次月即愈。
第三月经或前或后
论其症，因脾土不胜不思饮食，由此血衰，经或前或后，宜补脾则血旺气匀，自然应期，宜服紫金丸。
紫金丸五
陈皮（五钱） 良姜 莪术（各八钱） 槟榔 砂仁 红花（各六钱） 枳壳 乌药（各八钱） 三棱（一两）
米糊为丸，用米汤送八十粒。
第四月经血虚发热
论其症，因妇人性急或行经时房事触伤，胁中结一块如鸡蛋大，在左右两胁。月水不行，变成五心烦热，头痛目暗，
咳嗽生痰。若半年一年不医，肉瘦泄泻则难治。宜先止热，用逍遥散。
逍遥散六
当归 白芍 川芎 柴胡 花粉（各八分） 黄芩（六分） 薄荷叶（四分） 胆草（五分） 地
骨皮 石连肉（各一钱）
水煎空心服，后止其嗽，用紫菀汤。
紫菀汤七
杏仁（一钱五分，去皮尖） 阿胶（炒研，八分） 待药煎
好方入白桑皮（一钱，蜜炙） 五味子（五分） 知母（一钱，炒） 川贝（一钱，去心） 紫菀
桔梗 苏子（各八分） 枳实（一钱） 款冬花（六分）
水煎，临卧服。
第五经闭发热
论其症，因行经时，及产后因食生冷并食水果。血见水则滞故也。起初一二月作寒作热，五心烦躁，脾土胜自然经
水流通。若半年不治，变成骨蒸。子午面热，肌肉消瘦，泄泻不止，急宜治之。倘病甚重，急用鸦片三厘调甘草汤送下，
有起死回生之妙，宜用逍遥散、紫菀汤二方。俱详第四。
第六行经气血作痛
论其症，经来一半血未曾尽，腹中作痛，变发潮热，或有不热，须破其余血，热止痛安，宜用红花散。
红花散八
枳壳（六分） 红花（一钱，炒） 牛膝 当归 苏木 赤芍 三棱 莪术（各八分） 川芎（五分）
水煎，空心服。
第七经来不止
经来一日不止，有半月之久，乃血妄行，问其妇，曾吃椒、姜热物过度否？是谓热症，须用金拘散。
金拘散方九
续断 阿胶（炒） 地榆 当归 白芷（各一钱） 黄芩 川芎 白芍（各八分） 熟地（二钱）
水煎，空心服。
第八经来如黄水
此症人虚不可用凉药，须暖其经，以和其血。次月血胜而愈。宜用加味四物汤。
加味四物汤方十
当归 乌药 川芎 玄胡 小茴香 白芍（各八分） 熟地（一钱）
姜枣水煎。空心服。
第九经来如绿水
此症全无血色，乃大虚大寒。不可用凉药，要用乌鸡丸半月。非但病愈，又能怀孕。
乌鸡丸方十一
天雄附子（三钱） 鹿茸 山药 苁蓉 肉桂 蒲黄（炒黑） 当归 萸肉 川芎（各五钱） 白芍（一两）
熟地（一两五钱） 乌鸡肉（皮油不用，酒蒸，三钱）
米糊为丸，空心酒送下百丸。
第十经来全白色
此症无血色，五心烦热，小便作痛，面色青黄，乃血气虚也。服此半月必孕，宜用乌鸡丸。方详第十一。
第十一经来成块
如葱白色，又如死猪血黑色。头昏目暗，唇麻，此症虚也。急用内补当归汤。方详第四。
第十二经来臭如夏月之腐
此乃血弱，更兼热物，譬如水干涸，沟渠久则臭也。身衰，旧血新血不接则臭，宜用龙骨丸。
龙骨丸方十二
龙骨 海螵蛸 牡蛎 生地（各一钱） 当归 川芎 白芍 茯苓（各八分） 黄芩（六分）
蜜丸，空心服百丸。
汤药方十三
当归 三棱 莪术 赤芍 丹皮 白术（各八分） 香附 条芩 陈皮 木通（各八分） 姜（一片）
水煎服
第十三经来不止如鱼脑
双足疼痛不能动履，乃下元虚冷，更兼风邪所致，宜行血行气，用疏风止痛散。
疏风止痛散方十四
当归 天麻 僵蚕 乌药 牛膝 独活（各一钱） 石南藤 乳香 紫金花 骨碎补（各一钱） 川芎（五
分） 姜（三片） 葱白（三个）
酒煎，空心服。
第十四经来如牛膜片
此症经来不止兼牛膜色一般，昏迷倒地乃气血变成，虽惊无事，用朱砂丸。
朱砂丸方十五
朱砂（一钱） 白茯苓（一两）
水和为丸，姜汤送下五十粒立效。
第十五经来如血胞经来不止
或下血胞三五个如鸡蛋大，如用刀割开内石榴子，其妇昏迷不知人事亦无妨，宜用十全大补汤。
十全大补方十六
当归 白术（各一钱） 川芎 白芍 人参 茯苓（各八分） 生地 黄 （各一钱）
姜、枣煎，空心服三五帖立效。内有甘草、肉桂末二味米炒，令老肉桂味辛，恐动血，宜加减用之为要。
第十六经来疼痛
小便如刀割 此乃血门不开，皆用八珍散无效，宜用牛膝汤一剂有功。
牛膝汤方十七
牛膝（三两） 乳香 麝香（各一钱）
水碗半，煎牛膝至一碗，临服磨乳香、麝香入内，空心服之即愈。
如系火症，可用朱砂六一散。
第十七经来吊阴痛不可忍。
此症两条筋从阴吊起至乳上疼痛，身上发热，宜用川楝汤二剂即愈。
川楝汤方十八
川楝子 猪苓 泽泻（各八分） 麻黄（六分） 木香（三分） 小
茴香 白术 乌药 乳香 元胡（各一钱） 槟榔（八分） 大茴香一钱 姜（三片） 葱（一根）
水煎，对火服，发汗即愈。
第十八经来未尽潮热气痛
此症经来一半又觉口渴，小肠痛，此因伤食生冷，血滞不行，有余血在内，不可用补剂，只宜凉药。若补用莪术散
，热去经尽，痛止热退。
莪术散方十九
莪术 三棱 红花 牛膝 苏子（各一钱）
水煎空心服。
第十九经来已尽作痛
此症手足麻痹，乃腹中虚冷，血气衰甚。用人参四物汤治之。
人参四物汤方二十
人参（一钱） 白芍（一钱） 当归（二钱） 川芎（八分） 姜（三片） 枣（三枚）
水煎服，即愈。
第二十经来结成一块
如皂角一条横过，痛不可忍，不思饮食，面色青黄，急服元胡散治之。
元胡散方二十一
元胡（四钱） 发灰（三钱）
共为末，酒调服下，服之半月，其块自消。
第二十一经来胁气痛
经来胁内一块如杯大，其色淡黄，宜治块为先，用四物元胡汤治之。
四物元胡汤方二十二
当归 川芎 白芍（各八分） 元胡（一钱） 熟地（一钱五分） 姜（三片）
酒煎。加沉香三分，食后服。或归、芎、白芍、熟地、元胡各四两，沉香
五钱，分作四股，酒煎。或为末，酒送下。
第二十二经来遍身疼痛
经来二三日遍身疼痛，及寒邪入骨，或热或不热，宜解表。用乌药顺气散发汗即愈。
乌药顺气散方二十三
乌药 僵蚕 白芷 陈皮 枳壳（各八分） 干姜 甘草（各五分） 麻
黄（四分，去节） 姜（三片） 葱（一根）
水煎服即愈。
第二十三触经伤寒
经来误食生冷，遍身潮热，痰气紧满，恶寒，四肢厥冷，乃触经伤寒。急投五积散即安。
五积散方二十四
浓朴 陈皮 桔梗 白芷 枳壳 当归 白茯苓 香附 半夏（各一钱） 川芎 干姜（各五分） 苍
术柴胡（各四分） 青皮（六分） 姜（三片） 葱（一根）
水煎热服。
第二十四经逆上行
经从口出，此因过食椒姜热毒之物，其血乱行。急服犀角地黄汤数剂立效。
犀角地黄汤方二十五
犀角 白芍 丹皮 枳实（各一钱） 黄芩 橘红 桔梗 百草霜（各八分） 生地（二钱） 甘草（三分）
水煎，空心服即愈。
第二十五经水从口鼻出
咳嗽气紧，宜推血下行，当用红花散七帖，次用冬花散止嗽下气，不须五七帖，热去全安。
红花散方二十六
红花 黄芩 苏木（各八分） 花粉（六分）
水煎空心服。
冬花散方二十七
冬花蕊 粟壳（蜜炙） 桔梗 枳壳 苏子 紫菀 知母（各八分） 桑皮（炒） 石膏 杏仁（各二钱）
水煎服。
第二十六逐日经来
此症经水日有几点则止，或五日，或十日，又来数点。一月当三四次，面色青黄，先宜艾胶汤三帖。
艾胶汤方二十八
阿胶（炒） 熟地（各二钱） 艾叶（三钱） 川芎（八分） 枣（三枚）
水煎。空心服后，用紫金丸。方详第三症，服之次月即安。
第二十七经来狂言如见鬼神
此症经来，或因家事触怒，阻逆血攻心，不知人事，狂言鬼神，先用麝香散，宁心定志。
麝香散方二十九
麝香 沉香（炙） 甘草（各三钱） 柴胡 桔梗 茯神（各八分） 远志（二钱，去心） 木香（五
分） 人参（八分）
水煎，不拘时服，后用茯苓丸即愈。
茯苓丸方三十
远志（去骨） 茯苓（各八钱） 朱砂（三钱） 猪心（一个）
用早米糊为丸如桐子大，用金银汤送五十粒即愈。
第二十八经来常呕吐
经来常呕吐，不思饮食，宜用丁香散。
丁香散方三十一
丁香 干姜（各五分） 白术（一钱）
为末，每清晨米汤送三匙。
第二十九经来饮食即呕吐
此症乃痰在胸膈，挂住谷米，不能下胃，投乌梅丸化去痰涎，后用九仙散。
乌梅丸方三十二
木香 雄黄（各五钱） 草果（一个） 乳香 没药（各一钱）
乌梅为丸如弹子大，每日早晨口含化一丸。
九仙夺命丹方三十三
草果（一个） 浓朴 茯苓（各一钱） 豆果 枳壳 木香 山楂 陈皮 苍术（各一钱）
共为末，姜汤下。
第三十经来遍身浮肿
此因脾土虚弱，不能充变而为肿，宜用木香调胃散。
木香调胃散方三十四
木香 甘草 干姜（各三分） 莪术 木通 山楂 大腹皮（各八分） 砂仁 苍术
（各一钱六分） 陈皮 红花（各五分） 香附 车前（各一钱） 萆 （三分）
水煎，空心服。
第三十一经来泄泻
若经动之时五更泄泻如儿屎，此乃肾虚，不必治脾，用调中汤三五帖即安。
调中汤方三十五
人参 白术（各八分） 五味子 甘草（各三分） 干姜（五分） 姜（三片）
水煎，空心服即愈。
第三十二经来大小便俱出
此名磋经，因吃热物过多，积久而成，宜用分利五苓散，调其热毒，调其阴阳即安。
分利五苓散方三十六
猪苓 泽泻 白术 赤茯苓（各一钱） 阿胶（炒） 川芎 当归（各八分）
水煎，空心服即愈。
第三十三妇人白带
用白种鸡冠花煎老酒，服之即愈。
第三十四经来常咳嗽
此症咽中出血，乃肺金枯燥，急用茯苓汤退其嗽，再用鸡苏丸除其根。
茯苓汤方三十七
茯苓 川芎 苏叶 前胡 半夏 桔梗 枳实 干姜 陈皮（各八分） 当归 白芍
生地（各一钱） 人参（五分） 桑白皮（六分） 甘草（三分） 姜（三片）
水煎，空心服即愈。
鸡苏丸方三十八
萝卜子（九钱） 贝母（四两）
[Preface]
The medical classics attributed to Qibo and the Yellow Emperor are numerous (numerous as to fill ox-carts and heap up against walls), and gynecological syndromes and treatments are particularly complex. However, various medical texts are either broad but not refined, or concise but incomplete. Without a clear understanding of pulse pathology and broad insight, one remains at a loss, leading to the spread of misinformation or doubt; having such books is worse than having none. Although there are renowned experts in fetal and obstetric medicine, one must invite a physician to ascertain the source of the disease and determine the nature of medicines only upon facing the symptoms. Moreover, inaccurate transmission of knowledge can lead to detrimental errors, which is alarming. Fetal and obstetric matters are common household events; how can one find good physicians in remote and desolate areas? And in the panic of the night, when medicines are urgently needed within moments, it is indeed lamentable! Pitying the hardships of the world and disregarding my own clumsiness, I have compiled this volume. The upper volume collects the hidden essentials of past masters, presenting them in their entirety, mostly discussing menstrual regulation and conception, as well as prenatal and perinatal theories, making the syndromes, treatments, and formulas clear at a glance. The middle volume exclusively focuses on Shenghua Decoction (Postpartum Revitalizing Decoction) as the main formula, adjusting for symptoms, and detailing postpartum care without omission. The lower volume categorizes Ye Tianshi’s methods for menstrual regulation and conception, Yin-Yang Immortal Date for immediate fetal nourishment, and Mr. Ni Hanchu’s eternally effective prescriptions for dysentery and malaria, publishing them all for the public. The title is "Ningkun Secret Manual" (Secret Recipes for Women's Health), with the subtitle "Proven Good Prescriptions." If every household possesses this book, observes the changes of Yin and Yang, and applies treatments for fetal foundation before conception and appropriate care after delivery, not only will secret gynecological arts be preserved rather than lost, avoiding detrimental errors, but almost all worries can be alleviated. How great is the difference compared to those books that are broad but unrefined or concise but incomplete! As for the experienced prescriptions in the final volume, many remain treasured; here we present only fragments of precious light, awaiting subsequent printing so that everyone may see the whole picture.
Inscribed by Li Tang, styled Yuetian from Yexi, during the mid-autumn of the leap month in the first lunar month of the Bingwu year of the Qianlong reign.
1. Pre-Menstrual Phase
Discussion of symptoms: Menstrual blood resembles bile water, heat sensation in the five centers (palms, soles, and chest), lower back pain, accompanied by lower abdominal pain, yellowish complexion, and loss of appetite. This indicates deficiency of Qi and Blood. First, clear the heat, then regulate menstruation. Recovery occurs in the following month when blood becomes abundant. Initially treat with Huangqin San (Scutellaria Powder).
Huangqin San Formula 1
Huangqin (Scutellariae Radix) (6 fen), Chuanxiong (Ligustici Chuanxiong Rhizoma) (8 fen), Danggui (Angelicae Sinensis Radix), Baishao (Paeoniae Radix Alba), Cangzhu (Atractylodis Rhizoma) (each 1 qian), Gancao (Glycyrrhizae Radix et Rhizoma) (3 fen), Zhimu (Anemarrhenae Rhizoma) (5 fen), Huafen (Trichosanthis Radix) (5 fen).
Decoct in water and take warm. Follow with Tiaojing Wan (Menstrual Regulating Pill).
Tiaojing Wan Formula 2
Sanleng (Sparganii Rhizoma), Ezhu (Curcumae Rhizoma), Danggui, Baishao, Shengdi (Rehmanniae Radix), Shudi (Rehmanniae Radix Preparata) (each 1 qian), Yuanhu (Corydalis Rhizoma) (1 liang), Fuling (Poria) (1 liang), Chuanxiong, Xiaohuixiang (Foeniculi Fructus), Wuyao (Linderae Radix) (each 8 fen), Dahuixiang (Illicii Fructus) (8 fen), Sharen (Amomi Fructus Rotundus) (5 qian), Xiangfu (Cyperi Rhizoma) (1 liang 1 qian).
Make pills with rice paste, take with wine at any time.
2. Post-Menstrual Phase
Discussion of symptoms: Menstrual flow is like leaking water, dizziness and dim vision, lower abdominal pain accompanied by leukorrhea, fishy odor in the throat, nausea and vomiting. Initially use Lijing Siwu Tang (Regulating Menstruation Four Substances Decoction), followed by Bunai Danggui Wan (Danggui Internal Nourishing Pill).
Lijing Siwu Tang Formula 3
Danggui, Chuanxiong, Shengdi, Chaihu (Bupleuri Radix), Baizhu (Atractylodis Macrocephalae Rhizoma), Xiangfu, Yuanhu, Baishao, Huangqin, Sanleng.
Decoct in water and take hot before sleep.
Bunai Danggui Wan Formula 4
Danggui, Xuduan (Dipsaci Radix), Baizhi (Angelicae Dahuricae Radix), Ejiao (Colla Corii Asini), Houpo (Magnoliae Officinalis Cortex), Fuling, Rongrong (Cynomorii Herba), Puhuang (Pollinis Typhae) (each 1 liang, stir-fried black), Yurou (Corni Fructus) (1 liang), Chuanxiong (8 qian), Shudi (1 liang 5 qian), Gancao, Jiangjiang (Zingiberis Rhizoma) (each 5 qian), Fuzi (Aconiti Lateralis Radix Preparata) (2 qian).
Make pills with refined honey, take 70-80 pills with warm wine on an empty stomach, recovery in the next month.
3. Irregular Menstruation (Early or Late)
Discussion of symptoms: Due to Spleen Earth failing to function (Spleen deficiency) causing loss of appetite, leading to blood deficiency, menstruation comes early or late. Tonify the Spleen so blood becomes abundant and Qi is balanced, allowing natural timing. Take Zijin Wan (Purple Gold Pill).
Zijin Wan Formula 5
Chenpi (Citri Reticulatae Pericarpium) (5 qian), Liangjiang (Alpiniae Officinarum Rhizoma), Ezhu (each 8 qian), Binglang (Arecae Semen), Sharen, Honghua (Carthami Flos) (each 6 qian), Zhike (Aurantii Fructus), Wuyao (each 8 qian), Sanleng (1 liang).
Make pills with rice paste, send down with rice soup, 80 pills.
4. Heat Fever due to Blood Deficiency during Menstruation
Discussion of symptoms: Due to women's irritable temperament or sexual intercourse during menstruation causing injury, a lump the size of an egg forms in the hypochondrium on either side. Menstruation stops, transforming into heat in the five centers, headache, dim vision, cough with phlegm. If untreated for half a year to a year, emaciation and diarrhea make it difficult to treat. First stop the heat using Xiaoyao San (Free and Easy Wanderer Powder).
Xiaoyao San Formula 6
Danggui, Baishao, Chuanxiong, Chaihu, Huafen (each 8 fen), Huangqin (6 fen), Boheye (Menthae Haplocalycis Folium) (4 fen), Dancao (Gentianae Radix) (5 fen), Digupi (Lycii Cortex), Shilianrou (Stemonae Radix) (each 1 qian).
Decoct in water and take on an empty stomach. To stop cough, use Ziwan Tang.
Ziwan Tang Formula 7
Xingren (Armeniacae Semen Amarum) (1 qian 5 fen, skin and tip removed), Ejiao (stir-fried and ground, 8 fen). After decocting other herbs, add Baitsangpi (Mori Cortex) (1 qian, honey-fried), Wuweizi (Schisandrae Fructus) (5 fen), Zhimu (1 qian, stir-fried), Chuanbei (Fritillariae Thunbergii Bulbus) (1 qian, heart removed), Ziwan (Adenophorae Radix), Jiegeng (Platycodonis Radix), Suzi (Perillae Fructus) (each 8 fen), Zhishi (Aurantii Fructus Immaturus) (1 qian), Kuandonghua (Farfarae Flos) (6 fen).
Decoct in water and take before sleep.
5. Amenorrhea with Heat Fever
Discussion of symptoms: During menstruation and postpartum, consumption of raw/cold foods and fruits causes blood stagnation due to contact with water. Initially, chills and fever occur for one to two months, irritability in the five centers; when Spleen Earth prevails, menstrual flow naturally resumes. If untreated for half a year, it transforms into bone-steaming fever (Yin deficiency heat). Facial heat at Zi and Wu hours, muscle emaciation, continuous diarrhea require urgent treatment. If severe, urgently use 3 li of Opium dissolved in Gancao Tang (Licorice Decoction) to save lives from death. Use Xiaoyao San and Ziwan Tang (see Formula 4).
6. Pain due to Qi and Blood Stagnation during Menstruation
Discussion of symptoms: Menstrual flow is incomplete, abdominal pain occurs, transforming into tidal fever or no fever. Must break residual blood; once heat clears, pain stops. Use Honghua San (Safflower Powder).
Honghua San Formula 8
Zhike (6 fen), Honghua (1 qian, stir-fried), Niuxi (Achyranthis Bidentatae Radix), Danggui, Sumu (Daemonorops Spicatus), Chishao (Paeoniae Radix Rubra), Sanleng, Ezhu (each 8 fen), Chuanxiong (5 fen).
Decoct in water and take on an empty stomach.
7. Menorrhagia (Unceasing Flow)
Flow continues for a day, lasting half a month, indicating reckless bleeding. Ask if the woman consumed excessive spicy/ginger hot foods. This is a heat syndrome; use Jinju San.
Jinju San Formula 9
Xuduan, Ejiao (stir-fried), Diyü (Sanguisorbae Radix), Danggui, Baizhi (each 1 qian), Huangqin, Chuanxiong, Baishao (each 8 fen), Shudi (2 qian).
Decoct in water and take on an empty stomach.
8. Menstrual Flow like Yellow Water
This syndrome involves deficiency; cooling medicines should not be used. Warm the menses to harmonize blood. Recovery occurs in the next month when blood becomes abundant. Use Jiawei Siwu Tang (Modified Four Substances Decoction).
Jiawei Siwu Tang Formula 10
Danggui, Wuyao, Chuanxiong, Yuanhu, Xiaohuixiang, Baishao (each 8 fen), Shudi (1 qian).
Decoct with Ginger and Jujube in water. Take on an empty stomach.
9. Menstrual Flow like Green Water
No blood color indicates severe deficiency and cold. Cooling medicines are contraindicated; use Wuji Wan (Black Chicken Pill) for half a month. Not only will the illness cure, but pregnancy will also occur.
Wuji Wan Formula 11
Tianxiong Fuzi (Aconiti Lateralis Radix Preparata with Tianxiong) (3 qian), Lurong (Cervi Cornus Pantotrichum), Shanyao (Dioscoreae Rhizoma), Rongrong, Rougui (Cinnamomi Cortex), Puhuang (stir-fried black), Danggui, Yurou, Chuanxiong (each 5 qian), Baishao (1 liang), Shudi (1 liang 5 qian), Wuji Rou (Black Chicken Meat, skin and oil removed, steamed with wine, 3 qian).
Make pills with rice paste, take 100 pills with wine on an empty stomach.
10. Menstrual Flow Entirely White
No blood color, heat in five centers, painful urination, bluish-yellow complexion, indicating Qi and Blood deficiency. Taking this for half a month ensures pregnancy. Use Wuji Wan (see Formula 11).
11. Menstrual Clots
Clots resemble scallion white or dead pig blood black. Dizziness, dim vision, numb lips indicate deficiency. Urgently use Neibu Danggui Tang (Internal Nourishing Danggui Decoction) (see Formula 4).
12. Menstrual Odor like Summer Decay
Blood weakness combined with hot foods, like dry channels becoming foul over time. Body decline, failure of old and new blood to connect causes odor. Use Longgu Wan (Dragon Bone Pill).
Longgu Wan Formula 12
Longgu (Fossilia Ossis Mammi), Haipiaoxiao (Sepiae Endoconcha), Muli (Ostreae Concha), Shengdi (each 1 qian), Danggui, Chuanxiong, Baishao, Fuling (each 8 fen), Huangqin (6 fen).
Make pills with honey, take 100 pills on an empty stomach.
Soup Medicine Formula 13
Danggui, Sanleng, Ezhu, Chishao, Danpi (Moutan Cortex), Baizhu (each 8 fen), Xiangfu, Tiaohuang (Scutellariae Radix), Chenpi, Mutong (Akebiae Caulis) (each 8 fen), Jiang (1 slice).
Decoct in water and take.
13. Unceasing Flow like Fish Brains
Pain in both feet preventing movement, caused by deficiency-cold of the Lower Origin and Wind pathogen. Promote blood and Qi circulation using Shufeng Zhitong San (Dispel Wind Stop Pain Powder).
Shufeng Zhitong San Formula 14
Danggui, Tianma (Gastrodiae Rhizoma), Jiangcan (Bombyx Batryticatus), Wuyao, Niuxi, Duhuo (Angelicae Pubescentis Radix) (each 1 qian), Shinanteng (Stephaniae Tetrandrae Caulis), Ruxiang (Olibanum), Zijinhua (unknown, likely specific local herb), Gusuibu (Drynariae Rhizoma) (each 1 qian), Chuanxiong (5 fen), Jiang (3 slices), Congbai (Allii Fistulosi Bulbus) (3 stalks).
Decoct in wine and take on an empty stomach.
14. Menstrual Flow like Ox Membrane
Unceasing flow resembling ox membrane color, fainting due to Qi and Blood transformation. Though alarming, it is harmless; use Zhusha Wan (Cinnabar Pill).
Zhusha Wan Formula 15
Zhusha (Cinnabaris) (1 qian), Bai Fuling (Poria) (1 liang).
Mix with water to make pills, send down with Ginger Soup, 50 pills for immediate effect.
15. Menstrual Flow like Blood Sac, Unceasing
Passing three to five blood sacs the size of eggs, resembling pomegranate seeds inside. Even if the woman faints, it is not harmful. Use Shiquan Dabu Tang (Perfect Ten Great Tonifying Decoction).
Shiquan Dabu Tang Formula 16
Danggui, Baizhu (each 1 qian), Chuanxiong, Baishao, Renshen (Panacis Ginseng Radix), Fuling (each 8 fen), Shengdi, Huangqi (Astragali Radix) (each 1 qian).
Decoct with Ginger and Jujube, take 3-5 doses on an empty stomach for immediate effect. Contains Gancao and Rougui powder stir-fried with rice to reduce pungency and prevent moving blood; adjust usage accordingly.
16. Menstrual Pain
Urination feels like knife cutting. Blood gate not opening; Bazhen San (Eight Treasures Powder) is ineffective. Use Niuxi Tang (Achyranthes Decoction) for one dose.
Niuxi Tang Formula 17
Niuxi (3 liang), Ruxiang, Shexiang (Moschus) (each 1 qian).
Decoct Niuxi in half a bowl of water until one bowl remains. Before taking, grind Ruxiang and Shexiang into the liquid, take on an empty stomach for cure.
If Fire syndrome, use Zhusha Liuyi San (Cinnabar Six-to-One Powder).
17. Severe Hanging Yin Pain during Menstruation
Two tendons pull from the yin area up to the breasts causing pain, body fever. Use Chuanlian Tang (Toosendan Decoction) for two doses.
Chuanlian Tang Formula 18
Chuanlianzi (Evodiae Fructus), Zhuling (Polyporus), Zexie (Alismatis Rhizoma) (each 8 fen), Mahuang (Ephedrae Herba) (6 fen), Muxiang (Aucklandiae Radix) (3 fen), Xiaohuixiang, Baizhu, Wuyao, Ruxiang, Yuanhu (each 1 qian), Binglang (8 fen), Dahuixiang (1 qian), Jiang (3 slices), Cong (1 stalk).
Decoct in water, drink facing fire to induce sweating for cure.
18. Tidal Heat and Qi Pain during Incomplete Menstruation
Halfway through menstruation, thirst and lower intestinal pain occur due to consuming raw/cold food causing blood stagnation and residual blood. Do not use tonics; use cooling medicines. If using Ezhu San (Curcuma Powder), heat clears, menstruation ends, pain stops.
Ezhu San Formula 19
Ezhu, Sanleng, Honghua, Niuxi, Suzi (each 1 qian).
Decoct in water and take on an empty stomach.
19. Pain after Menstruation Ends
Numbness in hands and feet indicates deficiency-cold in abdomen and severe decline of Qi and Blood. Treat with Renshen Siwu Tang (Ginseng Four Substances Decoction).
Renshen Siwu Tang Formula 20
Renshen (1 qian), Baishao (1 qian), Danggui (2 qian), Chuanxiong (8 fen), Jiang (3 slices), Zao (Jujubae Fructus) (3 pieces).
Decoct in water and take for cure.
20. Formation of a Lump during Menstruation
Like a soap pod crossing horizontally, unbearable pain, loss of appetite, bluish-yellow complexion. Urgently take Yuanhu San (Corydalis Powder).
Yuanhu San Formula 21
Yuanhu (4 qian), Fa Hui (Ash of Hair) (3 qian).
Grind to powder, mix with wine and take. Take for half a month, lump dissolves.
21. Hypochondriac Qi Pain during Menstruation
A lump the size of a cup in the hypochondrium, pale yellow color. Treat the lump first using Siwu Yuanhu Tang (Four Substances Corydalis Decoction).
Siwu Yuanhu Tang Formula 22
Danggui, Chuanxiong, Baishao (each 8 fen), Yuanhu (1 qian), Shudi (1 qian 5 fen), Jiang (3 slices).
Decoct in wine. Add Chenxiang (Aquilariae Lignum Resinatum) 3 fen, take after meals. Or use Danggui, Chuanxiong, Baishao, Shudi, Yuanhu each 4 liang, Chenxiang 5 qian, divide into four portions, decoct in wine. Or grind to powder, take with wine.
22. Whole Body Pain during Menstruation
Whole body pain 2-3 days into menstruation, Cold pathogen entering bones, with or without fever. Release the exterior using Wuyao Shunqi San (Wuyao Qi-Smooth Powder) to induce sweating.
Wuyao Shunqi San Formula 23
Wuyao, Jiangcan, Baizhi, Chenpi, Zhike (each 8 fen), Ganjiang (Zingiberis Rhizoma), Gancao (each 5 fen), Mahuang (4 fen, nodes removed), Jiang (3 slices), Cong (1 stalk).
Decoct in water and take for cure.
23. Catching Cold during Menstruation
Consuming raw/cold food during menstruation causes tidal fever, tight phlegm/Qi, aversion to cold, cold limbs. This is catching cold during menstruation. Urgently administer Wuji San (Five Accumulations Powder).
Wuji San Formula 24
Houpo, Chenpi, Jiegeng, Baizhi, Zhike, Danggui, Bai Fuling, Xiangfu, Banxia (Pinelliae Rhizoma) (each 1 qian), Chuanxiong, Ganjiang (each 5 fen), Cangzhu, Chaihu (each 4 fen), Qingpi (Aurantii Fructus Immaturus) (6 fen), Jiang (3 slices), Cong (1 stalk).
Decoct in water and take hot.
24. Retrograde Menstruation (Upward Flow)
Menstrual blood exits from the mouth due to excessive consumption of spicy/ginger toxic foods causing chaotic blood flow. Urgently take Xijiao Dihuang Tang (Rhinoceros Horn Rehmannia Decoction) for several doses.
Xijiao Dihuang Tang Formula 25
Xijiao (Rhinocerotis Cornu), Baishao, Danpi, Zhishi (each 1 qian), Huangqin, Juhong (Citri Reticulatae Pericarpium Rubrum), Jiegeng, Baicaoshuang (Carbonized Grass) (each 8 fen), Shengdi (2 qian), Gancao (3 fen).
Decoct in water and take on an empty stomach for cure.
25. Menstrual Blood from Mouth and Nose
Cough and shortness of breath. Push blood downward using Honghua San for seven doses, then Donghua San (Winter Flower Powder) to stop cough and descend Qi. Five to seven doses suffice; heat clears and full recovery ensues.
Honghua San Formula 26
Honghua, Huangqin, Sumu (each 8 fen), Huafen (6 fen).
Decoct in water and take on an empty stomach.
Donghua San Formula 27
Donghuarui (Farfarae Flos Bud), Sukeshell (Papaveris Capsula, honey-fried), Jiegeng, Zhike, Suzi, Ziwan, Zhimu (each 8 fen), Sangpi (Mulberry Bark, stir-fried), Shigao (Gypsum Fibrosum), Xingren (Armeniacae Semen Amarum) (each 2 qian).
Decoct in water and take.
26. Daily Menstrual Spotting
Small amounts daily, stopping for 5 or 10 days, then recurring. Occurs 3-4 times a month, bluish-yellow complexion. Initially use Aijiao Tang (Donkey-Hide Gelatin and Mugwort Decoction) for three doses.
Aijiao Tang Formula 28
Ejiao (stir-fried), Shudi (each 2 qian), Aiye (Artemisiae Argyi Folium) (3 qian), Chuanxiong (8 fen), Zao (3 pieces).
Decoct in water. After taking on an empty stomach, use Zijin Wan (see Syndrome 3); recovery in the next month.
27. Delirium Seeing Ghosts during Menstruation
Due to anger affecting family matters, obstructing blood attacking the Heart, losing consciousness, delirium about ghosts. Initially use Shexiang San (Musk Powder) to calm the mind.
Shexiang San Formula 29
Shexiang (Moschus), Chenxiang (Aquilariae Lignum Resinatum, roasted), Gancao (each 3 qian), Chaihu, Jiegeng, Fushen (Poria with Hostwood) (each 8 fen), Yuanzhi (Polygalae Radix, heart removed) (2 qian), Muxiang (5 fen), Renshen (8 fen).
Decoct in water, take at any time. Follow with Fuling Wan (Poria Pill) for cure.
Fuling Wan Formula 30
Yuanzhi (bone removed), Fuling (each 8 qian), Zhusha (Cinnabaris) (3 qian), Zhuxin (Porci Cor) (1 piece).
Make pills with early rice paste like wisteria seeds, take 50 pills with Silver-Gold Soup for cure.
28. Frequent Vomiting during Menstruation
Frequent vomiting, loss of appetite. Use Dingxiang San (Clove Powder).
Dingxiang San Formula 31
Dingxiang (Caryophylli Flos), Ganjiang (each 5 fen), Baizhu (1 qian).
Grind to powder, take three spoons with rice soup every morning.
29. Vomiting Immediately after Eating during Menstruation
Phlegm in chest/diaphragm blocking food, unable to reach stomach. Use Wumei Wan (Mume Pill) to resolve phlegm, then follow with Jiuxian San (Nine Immortals Powder).
Wumei Wan Formula 32
Muxiang, Xionghuang (Realgar) (each 5 qian), Caoguo (Tsaoko Fructus) (1 piece), Ruxiang, Moyao (Myrrhae Resina) (each 1 qian).
Make pills with Wumei (Pruni Mume Fructus) the size of a bullet, dissolve one pill in mouth every morning.
Jiuxian Duoming Dan Formula 33
Caoguo (1 piece), Houpo, Fuling (each 1 qian), Douguo (Cardamomi Fructus), Zhike, Muxiang, Shanzha (Crataegi Fructus), Chenpi, Cangzhu (each 1 qian).
Grind to powder, take with Ginger Soup.
30. Generalized Edema during Menstruation
Spleen Earth weakness failing to transform fluids causing edema. Use Muxiang Tiaowei San (Muxiang Regulating Stomach Powder).
Muxiang Tiaowei San Formula 34
Muxiang, Gancao, Ganjiang (each 3 fen), Ezhu, Mutong, Shanzha, Dafupi (Arecae Pericarpium) (each 8 fen), Sharen, Cangzhu (each 1 qian 6 fen), Chenpi, Honghua (each 5 fen), Xiangfu, Cheqian (Plantaginis Semen) (each 1 qian), Bixie (Dioscoreae Hypoglaucae Rhizoma) (3 fen).
Decoct in water and take on an empty stomach.
31. Diarrhea during Menstruation
Diarrhea at dawn like infant stool during menstruation indicates Kidney deficiency. No need to treat Spleen; use Tiaozhong Tang (Regulate Middle Decoction) for 3-5 doses.
Tiaozhong Tang Formula 35
Renshen, Baizhu (each 8 fen), Wuweizi (Schisandrae Fructus), Gancao (each 3 fen), Ganjiang (5 fen), Jiang (3 slices).
Decoct in water and take on an empty stomach for cure.
32. Simultaneous Urine and Feces Discharge during Menstruation
Named Cuo Jing (Friction Menstruation), caused by excessive hot foods accumulating over time. Use Fenli Wuling San (Separating Drainage Five-Ling Powder) to regulate heat toxin and balance Yin/Yang.
Fenli Wuling San Formula 36
Zhuling (Polyporus), Zexie, Baizhu, Chi Fuling (Poria with Red Skin) (each 1 qian), Ejiao (stir-fried), Chuanxiong, Danggui (each 8 fen).
Decoct in water and take on an empty stomach for cure.
33. Leukorrhea in Women
Boil white cockscomb flower in aged wine, take for cure.
34. Frequent Coughing during Menstruation
Bleeding from throat indicates Lung Metal dryness. Urgently use Fuling Tang (Poria Decoction) to stop cough, then Jisu Wan (Elsholtzia Pill) to remove root cause.
Fuling Tang Formula 37
Fuling, Chuanxiong, Suye (Perillae Folium), Qianhu (Peucedani Radix), Banxia (Pinelliae Rhizoma), Jiegeng, Zhishi, Ganjiang, Chenpi (each 8 fen), Danggui, Baishao, Shengdi (each 1 qian), Renshen (5 fen), Sangbapi (Mori Cortex) (6 fen), Gancao (3 fen), Jiang (3 slices).
Decoct in water and take on an empty stomach for cure.
Jisu Wan Formula 38
Luobozzi (Brassicae Seminum Radish Seed) (9 qian), Beimu (Fritillariae Cirrhosae Bulbus) (4 liang).